Search

This entry is part 11 of 12 in the series Medical Computing

To find something using the Google search engine, or a location using Google Maps, we simply type in a few words and then browse the results. This is so much better than what was available before that it has made Google one of the richest corporations in the history of the world.

Autocomplete, Stedman's Medical Dictionary

Autocomplete, Stedman’s Medical Dictionary

However, many programs’ search functions still require you to enter the first name in this box, the last name in that box, and the gender in this other box. Faugh.

Users of Cerner, including their ED tracking system, Firstnet, are lucky as regards search (though perhaps not so lucky in other respects). There is indeed a set of boxes where we can type in a variety of identifiers (name, FIN NBR, MRN, CMRN, SSN, Birthdate, and/or Gender). But, we can simply type, in the “name” search box, either “Lastname, Firstname” or “Firstname Lastname.” Then, we are presented with a list of matches, with information such as SSN and birthdate, that we can use to identify the correct patient. Simple. Elegant. Fast.

Google Autocomplete

Google Autocomplete

The Google method – entering just enough information to get a good set of possible matches, then presenting them for review – has now been voted (by user’s choice of search engines) as the standard for searching. As Donald A. Norman says, if we want usable designs, we have to accept standards, even if we don’t like them, and since user expectations are molded by Google, we might as well resign ourselves to it.

There are other ways to make searching easier, and they are starting to become standards as well. Autocomplete is when the program predicts a word or phrase that the user wants to type in, without the user actually typing it in completely. This is effective when there are a limited number of possible or commonly used words, as is the case with most medical software. Autocomplete can speed up user interactions significantly, especially for those who type slowly.

Firefox Search Box

Firefox Search Box

Autocomplete has been available for many years in some programs – for instance, the financial program Quicken, or Stedman’s Medical Dictionary. In these implementations, the autocomplete appears after the cursor as one types, often in grey, or may fill in multiple fields, as in Quicken. However, autocomplete is more familiar from the ubiquitous search engine Google, and the web browsers Internet Explorer and Firefox. Read the rest of this entry
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Data Display

This entry is part 12 of 12 in the series Medical Computing

One feature of most tracking systems is data display for an individual patient in the Emergency Department.

Beth Israel ED Patient View

Beth Israel ED Patient View

In most tracking systems, we can double-click on the patient’s name, and then we see a pop-up window, populated with things that the nurses have entered and that are found in the patient’s electronic medical record (EMR) entry: ED triage note, medications, allergies, past medical history, and the like.

This is the electronic equivalent of looking at printed nurses’ notes. As with any electronic medical record, it has the advantage of being visible from any computer. However, for many EMR implementations, we can’t see these notes until the ED triage nurse completes the note and closes it. Allowing individual bits of the nurse’s note to populate the ED patient view early would allow physicians to see the notes early, rather than often going to see the patient without the benefit of reviewing the nurse’s already-entered information.

Unlike other parts of tracking systems, which involve complex user interaction, an ED Patient View may be simple display of data, providing a straightforward exercise in information design. Read the rest of this entry
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